GWENDOLYN EARLE ROBERSON (NPI# 1558504191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558504191 |
| Entity Type | Individual |
| Full Name | GWENDOLYN EARLE ROBERSON |
| Credential | MD, MA |
| Practice Address |
82 S 1100 E 404 Salt Lake City UT 84102-1686 |
| Practice Telephone | 8013504777 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2016-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 7770041-1205 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1558504191 | 05 |
| Street Address |
82 S 1100 E 404 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898545 | Apothecary Shoppe, Inc | Pharmacy | 82 S 1100 E, Suite 104, Salt Lake City, UT 84102-1686 | 2005-11-18 |
| 1760920086 | Ashlie Sundwall | Specialist/Technologist | 82 S 1100 E, Salt Lake City, UT 84102-1686 | 2017-02-07 |
| 1366827503 | Chelsea Brooke Chaney | Advanced Practice Midwife | 82 S 1100 E, Suite 305, Salt Lake City, UT 84102-1686 | 2015-07-29 |
| 1093081101 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E, Suite 301, Salt Lake City, UT 84102 | 2012-03-23 |
| 1174811442 | Ryan Taylor Kitterman | Podiatrist | 82 S 1100 E, Ste 301, Salt Lake City, UT 84102-1686 | 2011-07-20 |
| 1508151341 | Jared Dee Mcphie | Podiatrist | 82 S 1100 E, Ste 301, Salt Lake City, UT 84102-1686 | 2011-06-09 |
| 1922308857 | Curtis Brandt Barton | Physical Therapist | 82 S 1100 E, Ste 301, Salt Lake City, UT 84102-1686 | 2010-10-26 |
| 1528220589 | Kevin Demass | Pharmacist | 82 S 1100 E, Suite 104, Salt Lake City, UT 84102-1686 | 2008-06-30 |
| 1073773107 | Andrew D Cooper Md PC | Orthopaedic Surgery | 82 S 1100 E, Suite 303, Salt Lake City, UT 84102-1686 | 2008-06-12 |
| 1659540359 | Utah Podiatry Group, P.C. | Durable Medical Equipment & Medical Supplies | 82 S 1100 E, Ste 301, Salt Lake City, UT 84102 | 2008-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857026 | Adam Hanley | Psychologist | 395 S 1500 E, Salt Lake City, UT 84112-8909 | 2020-09-28 |
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1184199721 | Aharon D. Shulimson, Ph.d. | Psychologist | 1111 E Brickyard Rd Ste 205, Salt Lake City, UT 84106-2571 | 2018-10-10 |
| 1437666054 | Novum Psychotherapy, PC | Psychologist | 275 E South Temple Ste 150, Salt Lake City, UT 84111-1270 | 2018-01-04 |
| 1952812414 | Lauren Michele Weitzman | Psychologist | 24 S 1100 E Ste 303, Salt Lake City, UT 84102-4307 | 2017-10-23 |
| 1326565300 | James Knorr | Psychologist | 7069 S Highland Dr Ste 5, Salt Lake City, UT 84121-3724 | 2017-08-29 |
| 1043735418 | Christopher M Davids | Psychologist | 439 E 900 S Fl 2, Salt Lake City, UT 84111-4303 | 2017-08-07 |
| 1710416037 | Lori Lynn Dekeyzer | Psychologist | 4568 S Highland Dr Ste 200, Salt Lake City, UT 84117-4235 | 2017-06-08 |
| 1285178459 | Mountain West Evaluation & Therapy Services | Psychologist | 3344 S 1885 E, Salt Lake City, UT 84106-3942 | 2016-12-07 |
| 1194270876 | Gita Rakhsha, Ph.d. LLC | Psychologist | 2046 E Murray Holladay Rd Ste 103, Salt Lake City, UT 84117-5175 | 2016-08-23 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.